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Nutrition in Clinical Practice
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Invited Reviews

Nutrition Management of Small Bowel Transplant Patients

Rebecca A. Weseman, RD, CNSD, LMNT* and Richard Gilroy, MD, FRACP{dagger}

* Intestinal Rehabilitation and Transplant Programs, Nebraska Medical Center, Omaha, Nebraska; and{dagger} Department of Internal Medicine, Section of Gastroenterology and Hepatology, University of Nebraska Medical Center, Omaha, Nebraska

Correspondence: Rebecca A. Weseman, RD, CNSD, LMNT, Intestinal Rehabilitation and Transplant Programs, 983285 Nebraska Medical Center, Omaha, NE 68198-3285. Electronic mail may be sent to Bweseman{at}nebraskamed.com.

Nutrition therapy after small bowel or combined liver/small bowel transplantation is challenging. The objective is to restore enteral autonomy to a patient with a complex past surgical history and equally complex posttransplant immunosuppressive regimen in the context of a newly created surgical anatomy. Improved surgical techniques and immunosuppressive regimens have led to superior outcomes. Accompanying these advances is a range of nutrition issues that require specific management strategies. This review outlines the current clinical practice and decision making used to create individualized nutrition regimens for small bowel or combined liver/small bowel transplant recipients. Successful small bowel transplant outcomes require a coordinated effort from a transplant team to restore nutritional autonomy to transplant recipients and free them from parenteral nutrition.

Nutrition in Clinical Practice, Vol. 20, No. 5, 509-516 (2005)
DOI: 10.1177/0115426505020005509
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This article has been cited by other articles:


Home page
 Nutr Clin PractHome page
R. A. Weseman
Review of Incidence and Management of Chylous Ascites After Small Bowel Transplantation
Nutr Clin Pract, October 1, 2007; 22(5): 482 - 484.
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